| Doctor Name: | DR. WARREN K ENG |
| NPI Number: | 1376766501 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2730 University Blvd Suite 104 Wheaton, MD - 209021979 |
| Business Phone Number: | 3019428799 |
| Business Fax Number: | 3019338554 |
| Mailing Address: | 804 Scott Nixon Memorial Drive, AUGUSTA |
| State: | GA |
| Postal Code: | 309072464 |
| Phone Number: | 8003944445 |
| Fax Number: | 7066501034 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |